Individual provider · Type 1 NPI
Malissa Edwards
Nurse Massage Therapist (NMT) · Brentwood, CA
NPI number
1902488463
Active
Practice location
1700 Trilogy Pkwy
Brentwood, CA 94513-6731
Mailing address
2154 Bridgeport Loop
Discovery Bay, CA 94505-2323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Massage Therapist (NMT) Primary | 163WM1400X | 72756 (CA) |
Nurse Massage Therapist (NMT): Definition to come...
About NPI 1902488463
Malissa Edwards's National Provider Identifier is 1902488463, issued on Apr 24, 2021. The primary taxonomy on file is Nurse Massage Therapist (NMT) (163WM1400X), and the practice location is in Brentwood, CA. The record was last updated on Apr 24, 2021.